E kamaʻilio anei kākou e pili ana i ke ʻoki ʻana o ka Perineal Urethrostomy?

Ke paʻakikī nei ʻoe a i ʻole kekahi āu i ʻike ai i ka mimi ʻana, ka ʻeha, a i ʻole ke kahe lohi o ka mimi? I kekahi manawa ʻo ke kumu o kēia he ʻūmiʻi a i ʻole ka paʻa ʻana o ka ʻōmole e lawe ana i ka mimi i waho o ka penis (kapa mākou i kēia he urethra) no kekahi kumu. I kēlā mau hihia, inā ʻaʻole holomua nā lāʻau ʻē aʻe, aia kahi ʻoki kūikawā a nā kauka e ʻōlelo nei. ʻO kēlā ʻoki, ʻo ia hoʻi ʻo 'Perineal Urethrostomy', ʻo ia ka mea a mākou e kamaʻilio ai ma kēia ʻatikala i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Perineal Urethrostomy?

He mea paʻakikī paha kēia inoa, akā e mālama kākou ia mea i maʻalahi.

He hana ʻoki kino ka Perineal Urethrostomy i hana ʻia no nā kāne wale nō. Pili ia i ka hana ʻana i kahi puka hou a mau loa no ka mimi e hele ai. Hana ʻia kēia puka ma kahi o ka ʻili ma waena o kou scrotum a me kou anus. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia wahi ʻo 'perineum'.

E noʻonoʻo, ʻo ka maʻamau, puka mai kā mākou mimi mai loko mai o ka ʻōpū mimi ma o kahi ʻōmole e hele ana ma waena o ka penis. Kāhea mākou i kēia ʻōmole ʻo ka urethra. Akā ma muli o kahi maʻi, kahi ulia, a i ʻole kahi ʻoki kino ma mua, hiki i kēia urethra ke lilo i ʻeha a ololi. Kāhea mākou i kēia kūlana ʻo Urethral Stricture . A laila hiki ke ālai loa ʻia ke kahe ʻana o ka mimi a i ʻole hiki ke paʻakikī loa ke hele.

I nā manawa e like me kēia, no ka mea he paʻakikī ke hoʻokahe i ka mimi ma o ka penis, hana ʻia kahi puka hou ma ka ʻāpana perineum e ʻae ai i ka mimi e hele ma loko.

ʻO wai ka mea e pono ai kēia ʻoki kino?

ʻAʻole kēia he ʻoki kino no nā kānaka a pau. Paipai nui ʻia ia ma ke ʻano he koho no nā poʻe maʻi i hāʻule i nā lāʻau ʻē aʻe no ka urethral stricture, e like me ke ʻoki kino e hoʻihoʻi i ka urethra. I ka ʻōlelo maʻalahi, ua noʻonoʻo ʻia kēia ʻoki kino inā ua hōʻino ʻia ka urethra a hiki i kahi hiki ʻole ke hele i ka mimi ma ka piko o ka penis.

Eia kekahi, he koho maikaʻi paha kēia no kekahi mau kāne ʻelemakule, ka poʻe i kānalua e hana i ke ʻoki kino nui.

E nānā kākou i ka papa ma lalo nei e ʻike i nā hihia nui e noʻonoʻo ʻia ai kēia ʻoki kino.

ʻO wai ka mea kūpono ʻole no kēia ʻoki kino?

I kekahi mau hihia, hiki i kēia ʻoki kino ke lilo i mea paʻakikī iki. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, ʻaʻole paha he koho maikaʻi kēia ʻoki kino nāu. Pono ʻoe e kūkākūkā i kēia me kāu kauka ma mua o ka hoʻoholo ʻana.

• Inā he momona loa ʻoe:Hiki i ka momona nui ke paʻakikī i ka hiki ʻana i kahi ʻoki a hiki ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha ma hope o ke ʻoki ʻana.
• Inā ua hana ʻia ʻoe i ke ʻoki kino ma ka ʻāpana perineum ma mua: Inā ua hana ʻia ʻoe i ke ʻoki kino ma ia wahi ma mua, hiki ke paʻakikī ke hana hou ʻana ma muli o ka ʻiʻo palapū.
• Inā ua loaʻa iā ʻoe ka radiation therapy no ke kanesa prostate: Ua hōʻino paha ka radiation therapy i nā ʻiʻo ma ia wahi, kahi mea e hoʻopilikia ai i ke kaʻina hana ho'ōla ma hope o ke ʻoki ʻana.

ʻO kekahi mau nīnau maʻamau āu e loaʻa ai

He mea maʻamau ka nui o nā nīnau e hiki mai ana i kou manaʻo i ke kūkākūkā ʻana i kēia ʻano hana ʻoki kino. E pane kākou i kekahi o lākou.

Ke puka mai nei ka sperm mai loko mai o ka penis?

ʻAʻole. Ma hope o kēia ʻoki kino, e like me ka mimi, puka mai ka sperm (ejaculation) ma o ka puka i hana hou ʻia . ʻAʻole ia e puka i waho ma o ka penis.

E hoʻoulu anei kēia ʻoki kino i ka hiki ʻole ke hoʻōki i ka mimi?

He makaʻu nui kēia no nā kānaka he nui. Akā ʻo ka pane, "ʻaʻole." Aia nā ʻiʻo e kōkua iā ʻoe e kāohi i kou mimi ʻana ma luna pono o kēia puka i hana hou ʻia. No laila, hiki iā ʻoe ke kāohi i ka wā āu e makemake ai e mimi. ʻAʻole e hoʻopilikia kēia ʻoki kino i kēlā hiki.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e kauoha ke kauka i kekahi mau hoʻokolohua nou.

• Hoʻāʻo ʻia kahi hāpana mimi e ʻike ai inā he maʻi.
• Hāʻawi ʻia nā antibiotics ma mua o ke ʻoki ʻana e pale ai i nā maʻi ʻōpū mimi.
• Hana pinepine ʻia kahi hoʻokolokolo X-ray e loiloi pono i ke kūlana o ke ala urinary.

• Inā he mau mea hoʻokomo i loko o kou kino (e like me ka stent, ka valve o ka puʻuwai, ka hui hana, ka pacemaker).
• Inā ua loaʻa iā ʻoe kahi maʻi bacteria kikoʻī e like me MRSA.
• Inā he kiʻekiʻe kou pilikia no ka variant-CJD (kahi maʻi neurological laha ʻole).
• Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e like me warfarin, aspirin, clopidogrel, rivaroxaban, dabigatran). Pono paha e hoʻōki ʻia kēia mau mea no kekahi manawa ma mua o ke ʻoki ʻana.

Pehea e hana ʻia ai ke ʻoki kino?

Hana ʻia kēia ʻoki kino ma ka haukapila, ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha, e hiamoe ana ʻoe.

ʻOiai aia nā ʻano hana like ʻole no ka hana ʻana i kēia ʻoki kino, ʻo ka mea i hoʻohana pinepine ʻia ʻo ia ke ʻano hana 'Blandy'. Eia ka mea e hana ʻia:

1. Hana ʻia kahi ʻoki ma ka ʻili o ka ʻāpana perineum, ma lalo o ka scrotum, ma ke ʻano o kahi 'U' i luna.

2. A laila, hōʻike ʻia ka urethra ma o nā ʻiʻo ma lalo.

3. Ua wehe ʻia ka urethra ma ka ʻoki ʻana ma kahi o 3-4 kenimika ka lōʻihi.

4. A laila, ua hoʻopili ʻia nā kihi o ka ʻoki ʻili i nā kihi o ka urethra i wehe ʻia a ua humuhumu ʻia me nā kaula lahilahi.

5. Penei e hana ʻia ai kahi puka hou a mau loa no ka puka ʻana o ka mimi.

I ka pau ʻana o ke ʻoki kino, ua hoʻokomo ʻia kahi ʻōmole i kapa ʻia ʻo 'Foley catheter' ma o kēia puka hou e ʻae ai i ka mimi e kahe i waho o ka ʻōpū mimi.

ʻEhia ka lōʻihi o ke ʻoki kino?

ʻO ka maʻamau , hoʻokahi a ʻelua paha hola ka lōʻihi.

E hoʻomoe ʻia anei au?

ʻAe, e hoʻomaʻemaʻe piha ʻia ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana.

He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?

Ma mua o kou hoʻi ʻana i ka home mai ka haukapila, e wehewehe ana ke kime lapaʻau iā ʻoe i kēia mau mea:

• Pehea e mālama ai i ka ʻeha a pehea e mālama ai iā ʻoe iho ke hoʻi ʻoe i ka home.
• ʻO ka lā e pono ai ʻoe e hoʻi mai e wehe ʻia ke catheter.
• Pono ʻoe i nā antibiotics a me nā lāʻau ʻeha.
• ʻO nā manawa hoʻopaʻa hou ʻana nā lā e pono ai ʻoe e ʻike hou i ke kauka.

Aia kekahi mau pilikia e kū mai ana mai ke ʻoki ʻana?

He mea kākaʻikahi loa nā pilikia ma hope o kēia ʻoki kino. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi. Inā loaʻa kahi pilikia, hiki i nā hōʻailona ke komo pū me ka emi ʻana o ka wikiwiki o ka mimi ʻana, ke koena o ka mimi i loko o ka ʻōpū mimi ma hope o ka mimi ʻana, a i ʻole kahi maʻi ʻōpū mimi.

E pili ana i ka ʻeha a me ka manawa ho'ōla

He mea ʻeha kēia?

He mea maʻamau ke ʻeha iki ma hope o ke ʻoki ʻana, akā hiki ke mālama ʻia. Na kāu kauka e kuhikuhi i nā lāʻau ʻeha nou.

He aha ka mea e hana ʻia i ka wā e hoʻōla ai?

• Pono e waiho ʻia ka catheter mua no kahi o ʻelua a ʻekolu mau pule, i kekahi manawa ʻoi aku ka lōʻihi.
• I loko o kēia manawa, e hāʻawi ʻia iā ʻoe nā antibiotics a me nā painkiller.
• Ma hope o ka wehe ʻia ʻana o ke catheter, e lawe pinepine ke kauka iā ʻoe i ke keʻena lapaʻau no nā hoʻokolohua kino.
• Ma hope o kahi o 8-12 mau mahina, hiki ke hana ʻia kahi hoʻāʻo me ka hoʻohana ʻana i kahi kāmela i kapa ʻia ʻo Cystourethroscopy e ʻike ai inā e hana maikaʻi ana ka urethra i hana hou ʻia a inā ua hana hou ʻia ka paʻa ʻana.

Pehea nā hopena a pehea e pono ai iaʻu ke mālama iaʻu iho?

He kiʻekiʻe loa ka holomua o kēia ʻoki kino (manaʻo ʻia he "maikaʻi loa"). Ola ka hapa nui o nā maʻi i kahi ola maikaʻi ma hope o kēia ʻoki kino.

ʻO ka hoʻololi nui loa hiki iā ʻoe ke hana, ʻo ia ke ʻano o kou mimi ʻana.

Āhea wau e ʻike koke ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka a i ʻole e ʻimi i ka lāʻau lapaʻau.

• Ke kahe nui ʻana o ke koko mai ka ʻoki.
• Pehu ʻano ʻē.
• Kuni a i ʻole nā ​​hōʻailona o ka maʻi (ka puka ʻana o ka pus, ka ʻulaʻula nui).
• Ka mumū o ke ala mimi a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka maʻi ala mimi.
• Inā manaʻo ʻoe ʻaʻole i hoʻokahe ʻia kou ʻōpū mimi ma hope o ka mimi ʻana.
• Inā lohi loa ke kahe ʻana o ka mimi.
• Inā manaʻo ʻoe e pilikia hou ana ʻoe i ka mimi ʻana.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka a hoʻoponopono iā lākou.